Two-stage flexor tendon grafting in children

Two-stage flexor tendon grafting is a procedure to salvage severely injured flexor tendon systems. It is a complex procedure that requires a surgeon's experience and the cooperation of the child, parents, and a therapist. The results are best in older children (10 to 15 years old) when using the Paneva Holevitch's technique with a suture in the palm of the hand. A continuing problem is always the future of the graft and the growth potential in children.